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Individual

MONTREAVOUS GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
811 E WASHINGTON AVE STE 400, MADISON, WI 53703-4028
(608) 344-9494
Mailing address
3819 N 9TH ST, MILWAUKEE, WI 53206-3310
(608) 344-9494

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
WI
343900000X
Non-emergency Medical Transport (VAN)
WI

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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